Abstract

Virtual Slides

We present a case of 39-year-old male with the symptoms of fever, cough, chest pain
and bloody phlegm, whose chest CT showed multiple subpleural nodules and inflammatory
infiltration. Video-Assisted Thoracic Surgery ( VATS ) for right subplural nodule
was performed and confirmed the diagnosis of necrotizing sarcoid granulomatosis. Prednisolone
was administered and the symptoms were under control untill the occurrence of intermittent
hemoptysis after 10 months. Chest CT and bronchoscope revealed the right lower lobe
nodule with intraluminal necrotic tissue in the right lower lobe posterior basal segment
respectively. Fatal hemoptysis happened during endobronchial biopsy by flexible bronchoscope
forcep. Based on this case, we reviewed the relevant literature and discussed the
clinical features, pathological changes and prognosis of the disease.